ELENA PATEL
Dependent on policy B05M000504
Claims
3
Attributed to this person
Charged
849.00
Total submitted
Denied
419.46
2 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | ELENA PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000504 |
| Date of birth | 20 Dec 1985 |
| Plan | BRONZE EPO |
| Covered from | 12 Jun 2025 |
| Covered to | 28 Jan 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002166 | 4 Mar 2026 | 320.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 320.00 |
| CLM0002168 | 26 Dec 2025 | 97.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002167 | 15 Jul 2025 | 432.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 99.46 |